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In the realm of health care, privacy protections are needed to preserve patients' dignity and prevent possible harms. Ten years ago, to address these concerns as well as set guidelines for ethical health research, Congress called for a set of federal standards now known as the HIPAA Privacy Rule. In its 2009 report, Beyond the HIPAA Privacy Rule: Enhancing Privacy, Improving Health Through Research, the Institute of Medicine's Committee on Health Research and the Privacy of Health Information concludes that the HIPAA Privacy Rule does not protect privacy as well as it should, and that it impedes important health research.

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This volume examines how our understanding of self and social identity is linked to physical health and disease. Topics include: the self-regulation model and cultural system through which the individual experiences illness and treatment; behaviour patterns; and the impact of physical illness.

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A multidisciplinary, international approach is taken in this volume which contextualizes men's health issues within the broader theoretical framework of men's studies. The contributors argue that gender is a key factor for understanding the patterns of men's health risks, the ways men perceive and use their bodies and men's psychological adjustment to illness itself. The first part introduces perspectives of men's studies and their relevance to understanding men's health. Part Two explores the links between traditional gender roles, men's health and larger structural and cultural contexts. Part Three looks at the implications of multiple masculinities for health issues, while the final section of the book examines the psych

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In this volume the distinguished sociologist Anselm Strauss reflects on his self-professed, lifelong intention to create sociological awareness in his readers and students. Strauss democratizes sociology by making sure that relativities of status, power, and wealth are acknowledged in the conduct of everyday life, and by recognizing that all collective life is subject to negotiation, rearrangement, and reconstruction. Represented here are some ideas for which Strauss is best known. He addresses work, leisure, culture, illness, identity, and policy. These disparate topics are linked by Strauss’ “web of negotiation” by which organizational arrangements can be changed. The volume concludes with discussion about problems of method, consultation, and teaching, affirming Strauss’ commitment to passing along the sociological awareness reflected in this volume to a next generation. Squarely in the long tradition of the Chicago School of sociology, the work of Anselm Strauss represents the very best thinking in modern sociological and psychological analysis. Those interested in the origins of his major conceptual frameworks will find this an essential volume.

A Look at the Future: Workshop SummaryAuthor: Institute of Medicine,National Academy of EngineeringPublisher: National Academies PressISBN: 0309120640Category: MedicalPage: 340View: 5070

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Improving our nation's healthcare system is a challenge which, because of its scale and complexity, requires a creative approach and input from many different fields of expertise. Lessons from engineering have the potential to improve both the efficiency and quality of healthcare delivery. The fundamental notion of a high-performing healthcare system--one that increasingly is more effective, more efficient, safer, and higher quality--is rooted in continuous improvement principles that medicine shares with engineering. As part of its Learning Health System series of workshops, the Institute of Medicine's Roundtable on Value and Science-Driven Health Care and the National Academy of Engineering, hosted a workshop on lessons from systems and operations engineering that could be applied to health care. Building on previous work done in this area the workshop convened leading engineering practitioners, health professionals, and scholars to explore how the field might learn from and apply systems engineering principles in the design of a learning healthcare system. Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary focuses on current major healthcare system challenges and what the field of engineering has to offer in the redesign of the system toward a learning healthcare system.

A New Health System for the 21st CenturyAuthor: Committee on Quality of Health Care in America,Institute of MedicinePublisher: National Academies PressISBN: 0309072808Category: MedicalPage: 360View: 9473

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Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

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Since 1945, a broad array of health care technologies have come into use, including antibiotics, anti-hypertensive drugs, oral diuretics, oral contraceptives, psycho-pharmaceuticals, corticosteroids, vaccines, open-heart surgery, genetics screening, automated clinical laboratories, renal dialysis, and cardiac pacemakers. Unquestionably, these technologies have brought benefits to millions. However, as costs of health care have risen rapidly, governments have increasingly singled out expensive technology as the culprit. The result has been changes in the methods of paying for health care in most countries to control cost rises. This has led to a slowing of technological change in some countries and increasing necessities to choose in all countries. This timely work describes how technology assessment critically evaluates the benefits, costs, and social implications of technology. The book presents an international perspective on health care technology's development and diffusion, and explains how health care technology can enlighten difficult choices faced by policy-makers, clinicians, and patients.

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Vaccination programmes now represent a major part of the effort devoted to improving the health of children in developing countries. These donor-funded programmes tend to be global in scope and focus on worldwide goals and targets such as 'polio eradication', and the Millennium Development Goals. Health policy makers at the national level are expected to implement these programmes in a standard manner and report progress according to a few standard indicators. Pressures and incentives to achieve the targets set are then transmitted down to the community level health worker who actually meets the parents and children to implement the programmes. Drawing on first hand, original research in India and Malawi carried out by the contributors, as well as existing literature, Protecting the World's Children: Immunisation policies and practices suggests that there is little or no scope allowed for the effects of variance in the way health systems work, the difficulties and tensions faced by health workers, or differences in the way people think about childhood illnesses that reflect cultural differences. The book argues that the need to show progress can create distortions and lead to the production of misleading data and an unwillingness to report problems. It proposes that vaccines could more effectively serve children's health needs if immunisation programmes are better understood and acknowledged, and if local knowledge and realities were enabled to inform national and international health policy. Written by an international, interdisciplinary team of experts in immunisation policy, Protecting the World's Children is an integrative study of immunisation policy and practice at a global, national and community level, and is an essential resource for researchers and practitioners in international and public health, as well as professionals in international and development studies.

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Chloe Bird and Patricia Rieker argue that to improve men's and women's health, individuals, researchers, and policymakers must understand the social and biological sources of the perplexing gender differences in illness and longevity. Although individuals are increasingly aware of what they should do to improve health, competing demands for time, money, and attention discourage or prevent healthy behavior. Drawing on research and cross-national examples of family, work, community, and government policies, the authors develop a model of constrained choice that addresses how decisions and actions at each of these levels shape men's and women's health-related opportunities. Understanding the cumulative impact of their choices can inform individuals at each of these levels how to better integrate health implications into their everyday decisions and actions. Their platform for prevention calls for a radical reorientation of health science and policy to help individuals pursue health and to lower the barriers that may discourage that pursuit.

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Over the past century, we have made great strides in reducing rates of disease and enhancing people's general health. Public health measures such as sanitation, improved hygiene, and vaccines; reduced hazards in the workplace; new drugs and clinical procedures; and, more recently, a growing understanding of the human genome have each played a role in extending the duration and raising the quality of human life. But research conducted over the past few decades shows us that this progress, much of which was based on investigating one causative factor at a time—often, through a single discipline or by a narrow range of practitioners—can only go so far. Genes, Behavior, and the Social Environment examines a number of well-described gene-environment interactions, reviews the state of the science in researching such interactions, and recommends priorities not only for research itself but also for its workforce, resource, and infrastructural needs.

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In an analysis of legislative responses to surrogacy in New York and California, the author explores how discourses about gender, family, race, genetics, rights, and choice have shaped policies aimed at this issue. She examines the views of legislators, women's organizations, religious groups, the media, and others.

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This issues-based reference work (available in both print and electronic formats) shines a spotlight on health care policy and practice in the United States. Impassioned debates about the best solutions to health care in America have perennially erupted among politicians, scholars of public policy, medical professionals, and the general public. The fight over the Health Care Reform Act of 2010 brought to light a multitude of fears, challenges, obstacles, and passions that often had the effect of complicating rather than clarifying the debate. The discourse has never been more heated. The complex issues that animate the health care debate have forced the American public to grapple with the exigencies of the present system with regard to economic, fiscal, and monetary policy, especially as they relate to philosophical, often ideologically driven approaches to the problem. Americans have also had to examine their ideas about the relationship of the individual to and interaction with the state and the varied social and cultural beliefs about what an American solution to the problem of health care looks like. In light of the need to keep students, researchers, and other interested readers informed and up-to-date on the issues surrounding health care in the U.S., this volume uses introductory essays followed by point/counterpoint articles to explore prominent and perennially important debates, providing readers with views on multiple sides of this complex issue. Features & Benefits: The volume is divided into three sections, each with its own Section Editor: Quality of Care Debates (Dr. Jennie Kronenfeld), Economic & Fiscal Debates (Dr. Mark Zezza), and Political, Philosophical, & Legal Debates (Prof. Wendy Parmet). Sections open with a Preface by the Section Editor to introduce the broad theme at hand and provide historical underpinnings. Each Section holds 12 chapters addressing varied aspects of the broad theme of the section. Chapters open with an objective, lead-in piece (or "headnote") followed by a point article and a counterpoint article. All pieces (headnote, point article, counterpoint article) are signed. For each chapter, students are referred to further readings, data sources, and other resources as a jumping-off spot for further research and more in-depth exploration. Finally, the volume concludes with a comprehensive index, and the electronic version of the book includes search-and-browse features, as well as the ability to link to further readings cited within chapters should they be available to the library in electronic format.

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The book presents case studies from Africa, Asia and Latin America addressing global development issues in the fields of health, energy, ICT and urbanism in an interdisciplinary way. The book illustrates key issues at the interface of technology, human, social, and economic development. Bringing together the best papers of the 2014 EPFL-UNESCO Conference on Technologies for Development, this book explores innovative technologies in the global South. It will be a valuable reference for researchers from engineering, natural sciences, information management, quantitative social sciences, and business faculties, as well as for development practitioners and policy makers. It shows the development potential of technologies, and discusses successful processes to develop and deploy them, as well how to evaluate their impact. The introduction to the book begins with a reflection on key issues regarding technologies for development. The following four sections focus on; (i) Innovative Technologies for Development, (ii) Open Source-Open Access-Open Innovation, (iii) Medical Technologies for the Global South, and (iv) Impact Assessment of Technologies for Development. Individual chapters explore issues such as a need for solid standards for newly developed technologies, how to successfully up-scale technology to a larger region, and how to involve private industry in the development of a technology.